CORSO DI LAUREA MAGISTRALE

THE REQUIRED INFORMATION WILL BE TREATED IN ACCORDANCE WITH D.LGS. 30 JUNE 2003, N. 196

APPLICATION FOR ASSESSMENT - 2018/2019 ACADEMIC YEAR

TO THE EDUCATION COMMITTEE OF THE COURSE

SCUOLA di _____________________________________________
                                     FIRENZE

I, THE UNDERSIGNED
Surname  |_______________________________|	First Name(s) |_____________________________|
Date of birth   |__|__|  |__|__|  |__|__|__|__|  (dd/mm/yyyyy)                          Female |__|    Male |__|
City and country of birth |_________________________________________________________ prov.*|__|__|
Current address (street, city, postcode, country) __________________________________________________| |______________________________ _______________________| prov.*|__|__| C.A.P.*  |__|__|__|__|__| 
phone number |_________________________| e-mail	|__________________________________________|
* only for people born or resident in Italy
ASK TO BE EVALUATED ABOUT CURRICULAR REQUIREMENTS AND PERSONAL SKILL IN ORDER TO RECEIVE THE NULLA OSTA FOR THE
•	Enrollment
•	Transfer from another university
•	Passage from the other academic course of the University of Florence 

CONCERNING THE CORSO DI LAUREA MAGISTRALE in 

|__________________________________________________________________________________________

___________________________________________________________________________________________|
CLASSE |________|	Indirizzo, orientamento o curriculum |___________________________________________|
I FURTHER DECLARE aware that I will be held liable for any false statements I make, according to the Criminal Code and relevant laws
   to be in possession of an academic degree awarded by the University of |____________________________|
|__________________________________________________________________________________________| 
(if awarded by the University of Florence,  fill in the matriculation code |__|__|__|__|__|__|__|
in |_______________________________________________________________|	Classe **	|_____________|
School |____________________________________________________| graduation date |__________________|

YES

with the final score of |__|__|__| out of |__|__|__ |   cum laude         dissertation subject	|___________________|
Final dissertation title |_________________________________________________________________________|
|___________________________________________________________________________________________|
** only for candidates that hold an Italian degree
    to be enrolled at the University of|____________________________________________________________| 
(if awarded by the University of Florence,  fill in the matriculation code |__|__|__|__|__|__|__|) to the degree 
course of |___________________________________________________________________________________| 
Classe |______| and to have acquired all the credits expected to the study plan
    to have earned the credits previously required

AND that I passed the following exams:
COURSE NAME	S.S.D.
**	CFU
**	Examination Date	

				

				

				

THE REQUIRED INFORMATION WILL BE TREATED IN ACCORDANCE WITH D.LGS. 30 JUNE 2003, N. 196

				

				

				

				

				

				

Notes:  S.S.D. = 	Settore Scientifico Disciplinare
            CFU =  Crediti Formativi Universitari
            ** only for candidates that hold an Italian degree

                _________________________________	_________________________________________
                           (date)                                                                                                      (signature)

Annexes:
	Syllabus of the course programs covered by your 1st level degree;
	other _______________________________________________________________________________________________
	____________________________________________________________________________________________________
- - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -    
RECEIPT. Mr./Mrs ________________________________________ born in ___________________ date of birth ___________ has asked to be evaluated in order to receive the NULLA-OSTA for the corso di Laurea Magistrale in ________________________________________________________________________________Classe _________
	__________________	_________________________________
		(date)	(The office worker)